ArticleScandinavian journal of primary health care2026
The constant conflicts of opioid prescribing - GPs' views on treating chronic pain with opioids in primary care: a reflexive qualitative analysis.
Article in Scandinavian journal of primary health care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06856733 (Improved Treatment for Patients With Long-term Opioid Therapy for Non-cancer Pain in Primary Care), which is not on this map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Improved Treatment for Patients With Long-term Opioid Therapy for Non-cancer Pain in Primary Care (Opi-Prim)
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite limited evidence supporting the long-term effectiveness of opioid therapy and existing recommendations on multi-disciplinary treatment, patients with chronic non-cancer pain (CNCP) continue to receive opioids. In Sweden, most prescription renewals for CNCP are issued by general practitioners (GPs).
aimTo explore GPs' experiences with and understanding of opioid prescribing for CNCP and their views on multi-disciplinary collaboration.
methodsSemi-structured interviews were conducted with GPs and one GP-trainee in Region Uppsala, Sweden (February-June 2022). Topics included long-term opioid treatment (LTOT), opioid tapering, prescription renewal and multi-disciplinary collaboration. The interviews were recorded, transcribed and thematically analyzed.
resultsTwelve participants including one GP trainee with a mean experience of 13 years were involved. Two main themes were developed. (1)
conclusionsGPs experienced moral distress prescribing opioids and reinforced stigma toward patients with CNCP and LTOT. These dynamics hinder treatment reassessment and biopsychosocial evidence-based care. Perceived expectations of GPs as the 'last resort' may perpetuate opioid use and impede collaborative care with the patient and multi-disciplinary teams.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.